Table Of Content

S The Native American ' Women's Health Education ce Center Postponing Pregnancy Methods of pregnancy postponement (consult a doctor before deciding which method is right for you.) Method How To Use It & How It Works Failure Rate Potential Side Effects Effective _ * ABSTINENCE Not having sex. Because the penis never enters the vagina, there is no way for the sperm to reach the egg. 0 none continuous CONDOMS A lubricated male condom is put over the erect penis before any penetration. Half an inch must be left at the end none of the condom to catch sperm, A female condom should be placed into the woman's vagina and lubricated. The (a small number of people may be allergic to nonoxynol- Male and condom blocks the sperm from getting to the egg. (NOTE: Do not use a male and a female condom at the same 9, a spermicide that lubricates many condoms, but Female time. The friction of the condoms rubbing together makes them more likely to break.) After ejaculation, the 5-20 different spermicides are available) 1 act of intercourse male condom must be removed right away, while the penis is still erect. A new condom must be used for each , \ ■' act of intercourse. A doctor injects a shot of hormones every three months. The hormones stop ovulation and thicken cervical excessive bleeding, depression, headaches, fatigue, hair t . 3 months DEPO-PROVERA mucus, making it harder for the sperm to reach the egg. 1 in the first year loss, weight change, breast cancer, cervical cancer, future difficulty getting pregnant 1 needs new A diaphragm is filled with spermicide and inserted into the vagina to make a barrier that kills sperm and blocks none (a small number of people may be allergic to DIAPHRAGM spermicide them from reaching the egg. A diaphragm must be inserted properly and left in the vagina for 6 hours after sex, 5-25 . nonoxynol-9, but different spermicides are available) in order to be effective. A doctor must re-fit the diaphragm_when a woman gains or loses more than ten pounds. for each * X 1 % intercourse An I.U.D. irritates the lining of the uterus, making it hard for the sperm to get to the egg and hard for a fertile 1 irregular or heavy bleeding and menstruation, anemia, 1-8 years I.U.D. egg to implant in the uterus. plus 2-8% abdominal pain, possible perforation of the uterus, risk of (different expulsion rate pelvis inflammatory disease brands) NORPLANT A doctor inserts six small capsules into the upper arm every 3-5 years. The hormones in the capsules stop 3 - 8 irregular periods & spotting, infections, headaches, mood ovulation and thicken the cervical mucus making it harder for sperm to reach the egg. Women who weigh, over in the first changes, acne, weight changes, abdominal pain 3-5 years 155 lbs. have a higher rate of getting pregnant than women who weigh less than 155 lbs. 3 years By charting her menstrual cycle (with a calendar or from changes in basal body tempertaure), a woman can none PERIODIC calculate when in the month she is fertile (able to get pregnant) and can abstain from having sex or use other continuous 10-30 forms of birth control during those fertile times. * ABSTINENCE A pill is taken at the same time every day. Hormones in the pills stop ovulation and thicken cervical mucus to nausea, mood changes, depression, weight change, acne, THE PILL block the sperm. fatigue, migrane headaches, spotting between periods, 1 month per I -10 may increase risk of STDs, abdominal pains, higher risk package of ovarian cysts, irregular menstrual bleeding SPERMICIDES A film, foam, or capsule is inserted into the vagina 15 minutes before intercourse begins. It dissolves and forms none a barrier that prevents the sperm from reaching the egg, and the chemicals of the spermicide kill the sperm. 10-30 (a small number of people may be allergic to nonoxynoi- ' . 1 hour 1 New spermicide must be inserted each time. 9, but different spermicides are available) A series of high dosagepills, containing the same hormones found in birth control pills which interfere with a nausea and vommitting are common EMERGENCY woman's ovulation and prevent her from becomming pregnant, are taken within 76 hours of unprotected sex. about A negative pregnancy test is required before a doctor will prescribe the pills. EC is not a method to replace CONTRACEPTION 15-25% regular, on-going methods of pregnancy postponement. It is intended for emergency situations such as the t failure of alternative birth control. To reduce the chance of an unwanted pregnancy use two methods of birth control at once. Condoms and pills, spermicides with condoms, condoms and a diaphragm, etc. * Failure rates are given in terms of the number of pregnancies expected to occur in one yeaY when 100 couples use this method. These methods require the person using them to follow specific instructions in order to make the method effective. If the instructions are not followed precisely, the failure rate of the method increases! Why do I need to think about birth control? V • If you and your partner do not use any form of birth control, there is an 85% chance of getting pregnant. • Birth control is the responsibility of both people having sex. Sometimes people think that getting birth control * is the guy's job, or that if a woman doesn't want to get pregnant, then she needs to make sure that she doesn't, but preventing pregnacy should be the equal responsibility of both partners in a relationship. • It is important to think about birth control so that you can plan ahead. You need to decide what is right for you, and to be able to discuss this with your partner. Besides, making deci¬ sions "in the heat of the moment" often leads to bad decision-making. Sex does not prove that you love someone. Love comes from your heart, not your body. No one should ever pressure you or . force you into having sex. You have the right to decide what you do with your body. RAPE IS A CRIME. V / r Deciding which method of ^ birth control is best for you. . . *> v ; -,y v. • How important is it that you and your partner do not get pregnant? ✓ ^ ; Abstinence (not having sex) is the only guaranteed way to prevent a pregnancy. All other methods of pregnancy preven¬ tion have failure rates. t * • - f * ' > N . - • Have you considered the side effects and health risks of the method? Some forms of birth control cause side effects— ranging from weight gain to an increased risk of cancer. Other methods are advised against for women with special health conditions such as diabetes, high cholesterol, or others. Smoking or certain medications can also de danger¬ ous, x>r reduce the effectiveness, of some methods of birth control. Make sure to ask your doctor about the side-effects and health risks of the methods you are considering. • What works best for you and your partner? . ■ / Whether you or your partner, or both of you, are involved in using a method of birth control, you both need to feel com- fortable and confident in your decision. If you aren't happy with your method of pregnancy prevention, you will be less likely to use it regularly and accurately, thus increasing the chances of pregnancy. • Some STDs do not show visible symptoms. Don’t assume that just because you can't see it, it isn't there. Ask your partner about his or her sexual history. • Condoms are the only form of contracep¬ tion that provide protection against HIV, AIDS, and other sexually transmitted diseases. / % • If you think that you may have been ex¬ posed to a sexually transmitted disease, get * tested! It is important to get the proper medi¬ cal attention so that you do not get sick and so that you do not infect anyone else. If you have questions or want more informa¬ tion about sex, sexuality, birth control, t pregnancy, or anything else related to pregnancy postponement, you can always talk to: • Your local nurse, doctor, or midwife • The Planned Parenthood Federation of America 1-800-669-0156 • The Native American. Women's Health Education Resource Center P.O. Box 572 Lake Andes, SD 57356 phone: (605) 487-7072 \ ’ * . I prepared by Emily Janes